Michael M Jackson

Primary specialty

Transportation Network CompanyTaxonomy code 342000000X

Practice address

2900 Westfork Dr Ste 401
Baton Rouge, LA 70827-0004

Phone

(504) 914-2065

NPI assigned

Oct 1, 2024

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1727740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1699593327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4919 FAIRFIELDS AVE",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2900 WESTFORK DR STE 401",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708270004",
            "telephone_number": "504-914-2065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON",
        "first_name": "MICHAEL",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-01",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "342000000X",
            "taxonomy_group": "",
            "desc": "Transportation Network Company",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Westbrook Jackson, PA-C
• Maribel Jackson
• Meghan Reid Jackson, PHD, ATC
• Melissa A Jackson, PHARMD
• Mia Jackson, RN
• Myrikle Alesia Jackson, BACHELOR OF SCIENCE
• Nedrea Chanta Jackson
• Patrice Quinette Jackson
• Phyllis Jackson
• Porsha Marie Jackson, LMSW

• Transportation Network Company in Baton Rouge, LA
• Providers in Baton Rouge, LA by specialty
• Transportation Network Company in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.